傅萍治疗继发性不孕案例一则
A Case Report of FuPing Treating Secondary Infertility
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1.浙江中医药大学附属杭州市中医院中医妇科,杭州 310000
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杜煊, 傅萍. 傅萍治疗继发性不孕案例一则[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406171&Fpath=home&index=0
DU Xuan, FU Ping. A Case Report of FuPing Treating Secondary Infertility[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406171&Fpath=home&index=0
杜煊, 傅萍. 傅萍治疗继发性不孕案例一则[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406171&Fpath=home&index=0 DOI:
DU Xuan, FU Ping. A Case Report of FuPing Treating Secondary Infertility[DB/OL].(2023-06-13)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=38406171&Fpath=home&index=0 DOI:
病史摘要,2,患者以“未避孕未孕3年余”为主诉前来就诊,夫妻双方性生活正常,持续试孕未孕,期间曾多次行辅助生殖技术,均以失败告终,现为调理后再次移植就诊。既往有右侧输卵管积水、左侧慢性输卵管炎,慢性肾炎病史。辅助检查:宫腹腔镜示“右侧输卵管走形极度扭曲,质地僵硬,管壁增粗,右侧输卵管壶腹部积水增粗3*2*2 cm。左侧输卵管通而欠畅”;AMH0.84 ng/mL;男方精液无殊。中医诊断 断绪;肾虚血瘀证。西医诊断 1.继发性不孕;2.输卵管梗阻干预措施 1.中药内服(益肾填精,活血通络);2.膏方:自拟滋肾养血膏(滋阴养血,补益肝肾);3.外治法:化瘀解毒洗剂和桂枝茯苓胶囊保留灌肠(清热解毒,活血化瘀)疗效转归 患者持续治疗后自觉症状明显改善,有信心自然受孕,最终于2021年3月自然妊娠,经益肾安胎治疗后足月分娩一健康女婴,重3.2 kg。
Summary of case history, The patient came to see the doctor with the chief complaint of "No contraception and no pregnancy for more than 3 years". The husband and wife had normal sexual life and continued to try for pregnancywithout success. During this period, they had repeatedly performed assisted reproductive technology, which all failed. She had a history of right hydrosalpinx, left chronic salpingitis, and chronic nephritis. Auxiliary examination: Uterine laparoscopy showed that the shape of the right fallopian tube was extremely distorted, the texture was stiff, the tube wall was thickened, and the hydrops in the right fallopian tube ampulla was thickened by 3×2×2cm. The left fallopian tube was not smooth." AMH 0.84 ng/mL; Male semen was normal.,TCM diagnosis, Disruption of Threads, Kidney Deficiency and Blood Stasis Syndrome,Western medicine diagnosis, 1.Secondary infertility; 2.Obstruction of fallopian tube,Therapeutic methods, 1.Chinese herbs orally(nourishing kidney and replenishing essence, activating blood to dredge collaterals );2.Herbal Paste Prescriptions:self-made kidney-nourishing blood ointment(nourish yin and blood, supplementing liver and kidney);3;External therapy: Retention Enema of Lotion of Huayu Jiedu and Guizhi Fuling Capsules( clearing heat and removing toxin, activating blood to resolve stasis),Clinical outcomes, After continuous treatment, the patient felt that her symptoms had improved significantly and she was confident to conceive naturally. Finally, she waspregnant naturally in March 2021 and delivered a healthy baby girl weighing 3.2kg at term after treatment of benefiting kidney miscarriage prevention.
不孕症继发性不孕中医综合治疗
InfertilitySecondary infertilityComprehensive Treatment of Traditional Chinese Medicine
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